Lomilomi Training WAIVER FORM | The Blisstitute of Living Aloha

Full legal name

Chosen name/s (if different from above)

Pronouns

Address

Phone

Birthday

Day

Month

Year

Emergency contact name + phone number

Have you had counselling (or any type of talk therapy) before?

Yes

Was your experience of this mostly positive or negative? What worked well for you/didnʻt work for you?

If you haven't already shared this, or if it's changed, please share anything that you would like to work on/get out of you Pa'a Counselling Session/s

Have you experienced any recent trauma and/or big life changes that you would like to share before your session?

Do you have any diagnoses that would be helpful to share before your session?

Is there anything else that you would like to share before your session?

Please read our cancellation + privacy policies here: https://www.blisstitute.com/policies

I agree to the Cancellation Policy for Paʻa Counselling Sessions

Yes

I agree to the Privacy Policy for Paʻa Counselling Sessions

Yes

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WAIVER FORM

~6-day Spiritual Hawaiian Lomilomi Massage TRAINING~

Please fill out the following form before your training commences

Full legal name

Chosen name/s (if different from above)

Pronouns

Date of birth

Day

Month

Year

Phone

Address

Emergency contact name + phone number

Please let us know if you have any special needs that we should be aware of, so that we can support you over the duration of the training in the best ways possible.

PLEASE READ THE FOLLOWING INFORMATION ABOUT OUR POLICIES AND TICK THE BOXES TO INDICATE YOUR AGREEMENT

Payments & Refunds:

Deposits are non-refundable. In some circumstances 50% of a deposit can be transferred to a future training, if the training has not commenced yet and the participant is unable to attend.
50% will be kept as an administration fee.
I agree to pay any remaining money for my tuition by the commencement of the training.
Once the course has commenced, if a person stops attending for any reason, there will be no refund of any monies paid.

Behaviour & Responsibility:

Participants must behave respectfully.
If deemed unfit, a participant may be removed from activities.
Participants assume full responsibility for their own wellbeing.
Participants are liable for any equipment damage due to negligence.

Acknowledgement of Risk:

The Blisstitute of Living Aloha aims to ensure safety, but acknowledges inherent risks in it's services.
Participants accept these risks and waive any claims for damages or injuries, including legal claims.

Health & Discontinuation:

Participants confirm they are in good health and are able to participate in the training, including giving and receiving Lomilomi massage for practice purposes.
If a participant feels they cannot complete the training, they will discuss this with the teacher.

Philosophical Context:

Activities are based on a specific cultural/spiritual philosophy. Participants agree not to hold The Blisstitute of Living Aloha liable for how they interpret or apply these teachings in their personal lives.

Full Legal Waiver:

Participants waive all legal claims for injury, death or property damage.
The waiver applies even if participants are not actively engaged in activities but are on the premises.

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Mahalo (thank you) for booking in to our 6-day Spiritual Hawaiian Lomilomi Massage TRAINING Please fill in this form prior to commencing...

Mahalo (thank you) for booking in to our
6-day Spiritual Hawaiian Lomilomi Massage TRAINING
Please fill in this form prior to commencing...